Ketorolac injection, 15 mg at Stephens Memorial Hospital. CPT J1885.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$7.11cash price (self-pay)
$23.62list price
$0.49–$38.93range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $0.50 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $0.71 |
| Aetna | Medicare Advantage | $2.77 |
| United Healthcare | Medicare Advantage | $2.77 |
| Humana | Medicare Advantage | $2.77 |
| Anthem | Medicare Advantage | $2.86 |
| Wellcare | Medicare Advantage | $2.88 |
| Harvard Pilgrim Healthcare | Maine's Choice | $6.21 |
| Aetna | HMO/PPO | $6.50 |
| Cigna | Commercial | $6.63 |
| Community Health Options | Commercial | $6.75 |
| Harvard Pilgrim Healthcare | Commercial | $6.90 |
| Multiplan | Commercial | $22.20 |
| United Healthcare | Commercial | $22.68 |
Inpatient
$7.11cash price (self-pay)
$23.62list price
$6.21–$38.93range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $20.62 |
| Aetna | HMO/PPO | $21.59 |
| Cigna | Commercial | $22.02 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $22.07 |
| Multiplan | Commercial | $22.20 |
| Community Health Options | Commercial | $22.43 |
| United Healthcare | Commercial | $22.68 |
| Harvard Pilgrim Healthcare | Commercial | $22.91 |
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